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12/03/2007 11:46 3606598578 <br />NORTHERN LIGHT ELECT <br />� <br />��.ECTR�C,�L P�RMIT APPI.IGAT�QN <br />G1r�r oF EVER�r� p�RMI'� sEIRVIG�s <br />3200 CEQAR STR�ET, �V�RE�, WA 98209 <br />4��-257-8$10 - FAX 425-257-8857 — www.everettwa.org <br />APALIGATIOlVS AF7� ACCFpTEb FROM 8 AM TO 4 pM <br />� � � � �� � <br />PROJECT ADDRESS <br />Owner <br />T8h211� <br />� ! (� e� r' p�'�tr /^ <br />�leetriCa! Cor�tracior <br />State I�icense Number <br />Proposed Use at Btslldtng <br />Mail AQclres� <br />MaN Addra9s <br />•-�=�---��3[. <br />Msil Qddress <br />i <br />�^ ��_- <br />Clq� <br />City <br />��✓'�" �'""�" c?� �� <br />City <br />State2(D <br />State2�p <br />Sbi�lZip <br />Contraat Price of Work <br />Contact Pe�son (Plan Review) <br />PAGE 01 <br />Phane <br />Phona <br />Phons <br />Zv �����7 <br />Descriptlon of Work to 6e Done: —__ �`' Y`� %�� crJ G' �� �/ i����.1 /Y �.�77 C <br />_ ,�, ._...� <br />e� � C� <..r, /� �j +�'ri^x/a• .•{ <br />;: <br />NOTE: 1lUiRIMG lN NUN-DW�LLENGS iS R�QUER�D TO <br />8� IN RACEIIVAYS, MC OR AC CABL�_ <br />CiN Of EVER�TT LOCAL SQLES TAX COb� IS 3105 <br />I hereby certify thaf 1 h�ve read and �x�mined �is sp,plicafion and Knoytr the same to be true a�►d <br />cortgcf: All prc�visions of lews and ordlnances govem/ng fhls rype of work wY(ll 8e completed <br />whether speclfred he�fn or nat. ihe granting r�� a permd doss noE p►�esume fo gfve authority to <br />No/ef$ or cancel the rouisions of �ny other siate o� (p��l /aw �gulafing consfructfort or fhe <br />pertarmence of cons�rucfion. That i�m aufhortzed by Ehe owrn3r of fhrs propar(}� fo �iertarm t1�e <br />warf� for which application is made and i compfy rv'rth the State Confrgctars Law 18.27 RGW and <br />296.200 WqC. <br />FEE <br />�U �l � Z CC. � <br />